<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<wicket:extend>
    <div class="btn-top dropdown pull-right">
        <button wicket:id="toevoegen" class="btn btn-primary" data-toggle="dropdown">
            <i class="icon-plus-sign icon-white"></i> Organisatie toevoegen <b
                class="caret"></b>
        </button>
        <ul class="dropdown-menu">
            <li wicket:id="nieuwOrganisatieTypes">
                <a href="javascript:void(0);" wicket:id="nieuwOrganisatie">
                    <wicket:container wicket:id="label">Coloscopiecentrum</wicket:container>
                </a>
            </li>
        </ul>
    </div>
    <h1 class="pageTitle">Organisaties zoeken</h1>
    <div class="form-horizontal">
        <fieldset>
            <form wicket:id="zoekForm">
                <div class="row-fluid">
                    <div class="span6">
                        <div class="control-group">
                            <label class="control-label">Soort organisatie <span
                                    class="label label-info">Multiselect</span></label>
                            <div class="controls">
                                <select multiple="multiple"
                                        wicket:id="selectedOrganisatieTypes">
                                    <option>Coloscopiecentrum</option>
                                    <option>Infolijn</option>
                                    <option>Inpakcentrum</option>
                                    <option>Lab</option>
                                    <option>Screeningsorganisatie</option>
                                    <option>Zorgverzekeraar</option>
                                </select>
                            </div>
                        </div>
                        <div class="control-group">
                            <label class="control-label">Naam organisatie</label>
                            <div class="controls">
                                <input class="input-large" type="text" wicket:id="naam">
                            </div>
                        </div>
                        <div class="control-group">
                            <label class="control-label">Achternaam medewerker</label>
                            <div class="controls">
                                <input class="input-large" type="text"
                                       wicket:id="organisatieMedewerkers[0].medewerker.achternaam">
                            </div>
                        </div>
                    </div>
                    <div class="span6">
                        <div class="control-group">
                            <label class="control-label">Plaats</label>
                            <div class="controls">
                                <input class="input-large" type="text"
                                       wicket:id="adressen[0].plaats">
                            </div>
                        </div>
                        <div class="control-group">
                            <label class="control-label">Postcode</label>
                            <div class="controls">
                                <input class="input-mini" type="text" placeholder="1234 AB"
                                       wicket:id="adressen[0].postcode">
                            </div>
                        </div>
                        <div class="control-group">
                            <label class="control-label">Unieke code organisatie</label>
                            <div class="controls">
                                <input class="input-small" type="text"
                                       wicket:id="uziAbonneenummer">
                            </div>
                        </div>
                        <div class="control-group">
                            <label class="control-label">Unieke code medewerker</label>
                            <div class="controls">
                                <input class="input-small" type="text" wicket:id="organisatieMedewerkers[0].medewerker.uzinummer">
                            </div>
                        </div>
                    </div>
                </div>
                <div class="row-fluid">
                    <div class="span12">
                        <div class="form-actions clearfix">
                            <button type="submit" class="btn btn-primary" wicket:id="zoeken">
                                <i class="icon-search icon-white"></i> Zoeken
                            </button>
                        </div>
                    </div>
                </div>
            </form>
        </fieldset>
        <div class="row-fluid show-results">
            <div class="span12" wicket:id="refreshContainer">
                <div wicket:id="organisaties"></div>
            </div>
        </div>
    </div>
</wicket:extend>
